www.guardianship.org • 877-326-5992 • [email protected] National Conference on Guardianship October 18 - 21, 2014 New Orleans Marriott 555 Canal Street New Orleans, Louisiana Big Education in the Big Easy! CONFERENCE SCHEDULE AT-A-GLANCE (Conference Intensives Require Separate Registration) Saturday, October 18 7:00 am - 5:00 pm Registration Area Open 8:30 am - 4:00 pm Conference Intensive: Legal Review 9:00 am - 11:30 am Conference Intensive: Behind the Webinar Screen 1:00 pm - 4:30 pm Conference Intensive: Guardianship Clinic 5:30 pm - 6:30 pm Welcome Reception Sunday, October 19 7:00 am - 5:00 pm Registration Area Open 7:00 am - 8:30 am New Member Breakfast 7:00 am - 8:30 am Continental Breakfast 8:30 am - 8:45 am Welcome/Opening Remarks 8:45 am - 10:00 am If We are Still Here on Monday 10:00 am - 10:30 am Break/Visit with Exhibitors 10:30 am - 11:45 am Concurrent Breakout Sessions 12:00 pm - 1:45 pm Annual Meeting Luncheon 2:00 pm - 3:15 pm Successful Transitions from Institu- tion to Community Living: The Guardian’s Role in “Money Follows the Person” 3:15 pm - 3:45 pm Break with Exhibitors 3:45 pm - 5:00 pm Concurrent Breakout Sessions 5:30 pm - 7:00 pm Reception with Exhibitors and Live Auction 7:00 pm Dinner on Your Own 7:15 pm - 9:00 pm Demystifying Master Guardian Certification Monday, October 20 7:00 am - 5:00 pm Registration Area Open 7:00 am - 8:30 am Continental Breakfast with Exhibitors 8:30 am - 9:30 am Concurrent Breakout Sessions 9:30 am - 10:00 am Coffee Break with Exhibitors 10:00 am - 11:00 am Concurrent Breakout Sessions 11:15 am - 12:30 pm Good to Great: Using Guided Deci- sion-Making for Person-Centered Guardianship 12:30 pm - 1:45 pm Networking Luncheon and Dessert with Exhibitors 2:00 pm - 3:15 pm Concurrent Breakout Sessions 3:15 pm - 3:45 pm Break 3:45 pm - 5:00 pm Concurrent Breakout Sessions 5:00 pm - 7:00 pm State Affiliates Meeting (invitation only) 6:00 pm Dine-Around Tuesday, October 21 7:00 am - 9:00 am Registration Area Open 7:00 am - 8:30 am Continental Breakfast 8:30 am - 9:45 am That’s a Tough One: Lessons Learned from Answering the Difficult Questions, Part 1 9:45 am - 10:00 am Coffee Break 10:00 am - 11:30 am That’s a Tough One: Lessons Learned from Answering the Difficult Questions, Part 2 11:30 am Conference Adjourns 2014 Conference Schedule National Conference on Guardianship • October 18 - 21 • New Orleans, LA Conference Intensives on Saturday, October 18 These conference intensives are not included in the conference fee. An additional registration fee applies to attend one of these programs. 8:30 am – 4:00 pm Legal Review Steven D. Fields, Esq., Tarrant County Probate Court #2 Terry W. Hammond, Terry W. Hammond Consulting Robert A. McLeod, Lindquist & Vennum, LLP Erica Wood, American Bar Association Commission on Law & Aging Ira Salzman, Esq., Goldfarb Abrandt Salzman & Kutzin, LLP A panel of respected guardianship legal experts will summarize the major reported court decisions and legislation in the United States during the past year that concern guardianship issues relevant to both professional and family guardians and the attorneys who represent them. 9:00 am – 11:30 am Behind the Webinar Screen Amy Atcha, NCG, Customized Caring, Inc. Kim Grier, Georgia Division of Aging Services Sally Hurme, AARP Everything you wanted to know about how to do a webinar and more. Webinars can be a great way to educate others about guardianship. Learn about how to put this tool to use for professional development, outreach opportunities for agencies or as an educator for NGA. 12:00 pm – 1:00 pm Lunch on Your Own 1:00 pm – 4:30 pm Guardianship Clinic Sally Hurme, AARP Jean Krahn, NMG, Kansas Guardianship Program Julia Nack, Central Ohio Area Agency on Aging J.R. Rittenhouse, Rittenhouse Fiduciary Services Back by popular demand, join your colleagues for a fast-paced discussion of your most pressing issues. Get your how-to-do questions answered by the experienced facilitators and other participants. Learn that you are not alone when making your most difficult decisions. Saturday, October 18 5:30 pm – 6:30 pm Welcome Reception Sunday, October 19 7:00 am – 5:00 pm Registration area open 7:00 am – 8:30 am Continental Breakfast and New Member Breakfast 8:30 am – 8:45 am Welcome/Opening Remarks 8:45 am – 10:00 am If We Are Still Here on Monday . . . Marilyn G. Pepper, JD, NCG, Louisiana Guardianship Services, Inc. An inspiring talk of personal survival and the challenges of being a guardian in the aftermath of Hurricane Katrina. Mrs. Pepper and her husband, both in their 70s, evacuated their home in low-lying Chalmette, southeast of New Orleans, and weathered the storm with their daughter, a nurse manager at Memorial Hospital, the site of several alleged mercy killings that later made national news. After five days, she and her husband were finally rescued by boat, only to be deposited on the interstate with crowds of other homeless evacuees. Having lost their home, cars, and all their belongings, and with only the clothes on their backs, they hitch-hiked 80 miles west to the Baton Rouge airport, and found a flight to Austin, Texas. It was another week before anyone knew their whereabouts…. Big Education in the Big Easy! 10:00 am – 10:30 am Break with Exhibitors 10:30 am – 11:45 am Concurrent Breakout Sessions 1) Ethical Issues with Respiratory Treatment Fernando Gutierrez, Fernando Gutierrez, LLC Lawrence McDonough, NCG, McDonough and Olson Consultants Corp. Guardians need to know basic information about respiratory treatment, when to withhold or withdraw, asking the right questions and seeking a ethics consultation at end of life issues. Larry is a licensed respiratory therapist and registered professional guardian, Fernando Gutierrez is a certified bioethics specialist and registered professional guardian. Together this team of experience will educate all interested parties. 2) Conflicts of Interest Frank R. Acuna, Esq., Acuña, Regli & Klein, LLP Are you aware of the situations which create conflicts of interest? Can you clearly identify who is the client, and to whom you owe fiduciary duties, including the duty of confidentiality? What about attorneys who refer you cases and who may owe duties to you and to others? This is the course for identifying and handling conflicts of interest and avoiding lawsuits! 3) Lessons that Guardians can Learn from Handlers for Lottery Winners & Professional Athletes Clay Bigler, Kentucky Guardianship Administrators, LLC Angela Luhys, Kentucky Guardianship Administrators, LLC Don McNay, Kentucky Guardianship Administrators, LLC Don McNay, award winning syndicated columnist & Huffington Post contributor, has written four best selling books on how to handle your money when you win the lottery. He will head a panel on how the techniques used to guide lottery winners and entertainers are utilized by KGA to help injured people and juveniles who receive money. 12:00 pm – 1:45 pm Lunch and Annual Meeting 2:00 pm – 3:15 pm Successful Transitions from Institution to Community Living: The Guardian’s Role in “Money Follows the Person” Carmen Castro, Harris County Long-Term Care Ombudsman Program Lisa Grafstein, Esq., Disability Rights North Carolina John Holt, Vera Institute of Justice, Inc. Guardianship Project Willie Martin In “Money Follows the Person” and similar federal-state programs, people with disabilities are transitioning from institutions to community living. Learn about opportunities for self-determination; assessing risks; continuity of care; medical, residential, educational and employment decisions needed; and supports for guardians. 3:15 pm – 3:45 pm Break with Exhibitors 3:45 pm – 5:00 pm Concurrent Breakout Sessions 1) Ethical Dilemmas in Placement: Safety vs. Liberty Peter Santini, MCG, Pima County Public Fiduciary This presentation will discuss how the Code of Conduct, Standards of Practice and rules and statutes guide our decisions as professional fiduciaries when making placement decisions. 2) Conservator Drafted and Assisted Wills: Three Cases, Three Outcomes Frank R. Baysore, NCG, Front Range Fiduciary Services, LLC Most states that have adopted the Uniform Probate Code allow for conservators to draft wills for their clients when necessary. This presentation will summarize my experience with three different cases. 3) So the Inventory for the New Case Includes Annuities, Now What? Lee Anke, Prudent Investors Network, Inc. Ted H. Ong, Prudent Investors Network, Inc. Annuities are complex products that are rife with issues. Learn how to avoid the pitfalls of annuities and decrease your potential liability! The presentation will cover liquidity issues, withdrawing funds, tax implications, risk of disinheriting beneficiaries fees and penalties, and investment performance. 5:15 pm – 6:00 pm Approved Educator Meeting 5:30 pm – 7:00 pm Reception with Exhibitors and Live Auction 7:15 pm – 9:00 pm Demystifying Master Guardian Certification National Conference on Guardianship Monday, October 20 7:00 am – 5:00 pm Registration area open 7:00 am – 8:30 am Continental Breakfast with Exhibitors 8:30 am – 9:30 am Concurrent Breakout Sessions 1) Best Practices Series: Make Sure You Don’t Inherit a Nightmare! Frank R. Acuna, Esq., Acuña, Regli & Klein, LLP Congratulations! You’ve been asked to be the trustee of a decedent’s trust or a continuing trust of some kind. But, do you know what you’re getting into? This course will examine common trust provisions and traps for unwary fiduciaries. We will look at ways that trusts can be reformed and the proper use of the Probate Court to reduce fiduciary liability. We will examine actual cases and the ways that creative fiduciaries have found to avoid liability. This course reviews the essential trust provisions which every fiduciary must demand before committing to a case! 2) Use of Person-Centered Practices to Improve the Quality of Life in Long-term Care David Seaton, Therapeutic Communities, LLC Person-Centered Practices (PCP) is changing how long-term care is viewed for individuals with disabilities. This approach is a radical change from how services were delivered in a paternalistic manner in the past. PCP is about knowing the person, empowering them to have a voice and choice in their lives, and differentiating between what’s important “for” and “to” the person, and to develop a quality of life as they define it. 9:30 am – 10:00 am Coffee Break with Exhibitors 10:00 am – 11:00 am Concurrent Breakout Sessions 1) Effective Advocacy On Behalf of the Nursing Home Resident Client H. Kennard Bennett, The Center for At-Risk Elders, Inc. Care problems in nursing homes can pose challenges to the guardian. To be an effective advocate, the guardian needs to understand how nursing homes work and develop a set of tools that can be employed to address the problems. 2) The Little Federal Office that Could: New Tools to Address Financial Exploitation Gerald ‘Jerry’ Cohen, AARP Oregon Naomi Karp, Consumer Financial Protection Bureau Erica Wood, American Bar Association Commission on Law & Aging The Consumer Financial Protection Bureau has new tools for preventing financial exploitation: guides for lay fiduciaries and long-term care providers; Money Smart training for older adults; and guidance for financial institutions. Learn from Oregon about putting these tools in action in your state. Learn about: Managing Someone Else’s Money guides for lay fiduciaries; Money Smart for Older Adults training; an action-oriented guide for assisted living and nursing facilities; and guidance for financial institutions. 11:15 am – 12:30 pm Good to Great: Using Guided Decision-Making for Person Centered Guardianship Tina Campanella, Quality Trust for Individuals with Disabilities Including people with intellectual challenges and limited ability to communicate in decision-making is hard. Ways to include people of all different abilities in decision-making using the person’s identified preferences will be explored through case studies and discussion. 12:30 pm – 1:45 pm Networking Luncheon and Dessert with Exhibitors 2:00 pm – 3:15 pm Concurrent Breakout Sessions 1) Ethics Jeopardy! Frank R. Acuna, Esq., Acuña, Regli & Klein, LLP New and Improved for 2014! Join the next best thing to Alex Trebek as our presenter helps you navigate fiduciary ethics! Topics will include: Those Pesky Attorneys, Duck and Cover, Funny Business, The Family, and others. And remember, your response must be in the form of a question! 2) NGA Standards: Impossible Dream or Evolving Reality? Sally Hurme, AARP Julia Nack, Central Ohio Area Agency on Aging To be up to date, every guardian needs to know what’s in the NGA Standards of Practice. Our presenters will highlight the new direction toward person-centered decision-making and ways to apply the Standards to your practice. Big Education in the Big Easy! 3:15 pm – 3:45 pm Break 3:45 pm – 5:00 pm Concurrent Breakout Sessions 1) Behaviors as Communication - Communicating with Persons with Dementia Mark Simmons, A Private Professional Guardian, LLC Do you ever wonder why people with dementia do what they do? Why do they rattle doors or wonder around at night? Have you wondered if the answer they gave you was the real answer? Communicating with Persons with Dementia can be a challenge. Come and learn techniques to help you communicate better with those you serve. They are talking.... Are you listening? 2) Divorce and Guardianship: Issues, Due Process and Evolution of the Law Charles P. Golbert, Esq., Office of the Cook County Public Guardian Kass A. Plain, Esq., Office of the Cook County Public Guardian Should a guardian be able to sue for divorce on behalf of a ward? This is a controversial and evolving area of the law that is approached differently in different jurisdictions. This session will discuss the different approaches, along with the public policy and due process considerations that justify the various approaches. The session will also discuss the Illinois Supreme Court’s recent decision in Karbin v. Karbin, which diametrically changed the approach in Illinois by allowing, for the first time, a guardian to sue for divorce on behalf of a ward if certain due process protections are satisfied. The interactive session will include discussion of case studies that highlight the issues implicated. 5:00 pm – 7:00 pm State Affiliates Meeting (by invitation only) 6:00 pm Dine-Around New Orleans is a culinary destination and this is your opportunity to experience it with a group of your fellow conference participants! Various restaurants will be pre-selected and reserved by the conference committee and each group will dine together to the chosen desination. Groups will meet in the hotel lobby and walk together to the restaurants for which they have signed up. Details and sign-up sheets will be available during the conference. Tuesday, October 21 7:00 am – 9:00 am Registration area open 7:00 am – 8:30 am Continental Breakfast 8:30 am – 9:45 am That’s a Tough One: Lessons Learned from Answering the Difficult Questions Part 1 Jeffrey Ory, ABC, APR, il Stratega It is those questions that make us think, “Wow – that’s a tough one.” Questions that can be difficult or even, we think, impossible to answer. How do you prepare for situations when the difficult questions just keep coming? The key is to be ready for any situation when hard questions are asked – by family members, judges, medical professionals, community members and, sometimes, by the media. In this session you will better understand how to ace any interview, no matter who is throwing out the questions. 9:45 am – 10:00 am Coffee Break 10:00 am – 11:30 am That’s a Tough One: Lessons Learned from Answering the Difficult Questions Part 2 Jeffrey Ory, ABC, APR, il Stratega Our Silent and Live Auctions are Fun and Important! Conference attendees always look forward to the lively auctions that add sparkle to the event and needed income to the Special Projects Fund. Donated items ranging from hand-made jewelry to fabulous vacations are auctioned to raise money for NGA to fund worthy projects that are outside of the regular budget. The annual conference scholarships for a family guardian and a public guardian come from the auction proceeds. Even if you can’t attend, you are invited to be part of the auction. Find auction information at www.guardianship.org. CONFERENCE DETAILS Hotel Information New Orleans Marriott 555 Canal Street New Orleans, LA 70130 Phone: 504-581-1000 Book Online You’ll love calling the New Orleans Marriott your home away from home. With beautiful panoramic Mississippi River and city views, this New Orleans hotel, near Bourbon Street, is the ideal base from which to explore all that the Big Easy has to offer. Enjoy a variety of conveniences at this French Quarter hotel, including a fully equipped fitness center and the award-winning 5 Fifty 5 restaurant, serving savory regional cuisine in an exceptional dining environment. This stunning forty-one story hotel offers contemporary amenities with classic Southern hospitality. For reservations, visit the reservation website: https://resweb.passkey.com/go/NGA14 or call the hotel directly at 504-581-1000. You must identify yourself as part of the National Guardianship Association to obtain the group rate. It is important that you indicate any special rooming needs or arrangements at the time of this call. Group Room Rate: $185.00 for single or double occupancy, plus local taxes (anticipated at 13%) and a $3.00 per night city occupancy fee. NGA cannot guarantee room availability. The discounted group rate concludes at 5:00 pm on Wednesday, September 24, 2014. Rooms will be available at the discounted rate until that date, or until the block is filled, whichever comes first. Please be aware that the NGA room block has filled before the deadline. At that point, you are competing with other guests for rooms. Requests for reservations after September 24 will be accepted by the hotel on a space and rate available basis. For those making reservations prior to the deadline, rooms may also be available at the group rate on the three days prior to and the three days after the actual conference to accommodate vacation planning. Transportation: The Airport Shuttle New Orleans offers roundtrip airport transfers for $20.00 (one way). Visit the website for an online reservation. Taxi fare costs approximately $33.00 (one way). Valet parking is available for those who wish to drive, at a rate of $35.00 per day, plus tax. Continuing Education This conference program holds a potential of 19.5 credit hours, including 3 hours of guardianship ethics credits (see below). Because each accrediting body must approve the program prior to assigning credits, the specific number of credits accepted by each state and for each type of credit will not be definite until October. Keep in mind that not all hours will be deemed acceptable for all types of credit. Questions about continuing education credits can be sent to Kelly Dolan at education@guardianship. org or call NGA at 877-326-5992, ext. 2. Proof of Attendance NGA moderators will announce two codes during each session: one at the beginning and another during the session. Codes MUST be entered on attendance verification sheets to receive proof of attendance; should you miss one of the codes, please insert the time you arrived/ left the session in place of the code. Moderators, staff and other attendees are unable to repeat these codes as this is a requirement to verify attendance for continuing education credit; falsifying information can result in loss of education hours for all attendees. Attendance forms must be completed and submitted to receive any credit; NGA strongly advises that all attendees submit attendance verification forms to document your participation should you need record of it in the future. Verified Certificate of Attendance The conference registration includes a verified certificate for every attendee who submits an attendance verification sheet which uses a code system for each session. This certificate can be submitted as proof of attendance to areas of education where NGA did not seek preapproval. Guardianship Credits NGA’s conference is approved for guardianship continuing education credits by the Center for Guardianship Certification (CGC), California Fiduciary Bureau and Texas Guardianship Certification. The CGC has approved 3 of these hours of ethics credits. The verified certificate is accepted as proof of attendance for these organizations. NGA will also be applying to CE Broker (Florida Public Guardian Office) and Professional Guardian Certification Board of Washington State. Certificate fees apply to receive Guardianship CEUs for Florida and Washington. Continuing Legal Education Credits NGA is applying to offer Continuing Legal Education credit for Louisiana. Certificate fees apply to receive a legal certificate. Individuals outside of Louisiana seeking legal credits should contact their state boards prior to the conference to see if their process requires a legal or a verified certificate. A verified certificate is included with the conference fee. If you have questions regarding legal credits, please contact Kelly Dolan at [email protected]. Social Work Credits NGA applies for social work credits with the NASW and any states that do not accept NASW certification. For a certificate documenting the pre-approved social work credits, a fee will be required. Issuing of Certificates To issue your certificate in a timely manner, NGA must receive your attendance sign-in sheets (which will be enclosed in the conference packet) before you leave the conference. Certificates are downloaded online. All certificates ordered before the conference will be issued within 45 days of the conference. Attendees are urged to check their conference packets upon arrival to obtain the most current continuing education information. TRAVEL & TOURISM Things to do in New Orleans Content includes suggestions from NGA Past President, Conference Co-Chair and former New Orleans resident Greg Mullowney. Within a few blocks of the hotel The Audubon Aquarium of the Americas is located right outside the hotel’s front door. See the aquarium and take its cruise up the river a few miles to the Audubon Park Zoo. The aquarium has an amazing underwater tunnel so that the fish are swimming all around you. All aboard for a trip into New Orleans’ past on the oldest continuously operating streetcar in the world! The St. Charles Streetcar Line has been rumbling around for more than 150 years. Swaying along St. Charles Avenue through a tunnel of oak trees, the streetcar passes antebellum mansions and historic monuments. You can board it outside the hotel at Canal Street and Carondelet. Pay $1.25 and take it through the Central Business District, through the Garden District, through uptown and to the end of the line. Get off, pay another $1.25 and return. In the French Quarter, within walking distance a few blocks away The Historic New Orleans Collection offers various exhibits. View the current exhibits on its website. New Orleans French Market boasts six blocks of outdoor covered booths and stores for shopping, eating and drinking. Be prepared to bargain with the vendors! The New Orleans Historic Voodoo Museum is a casual and curious experience intended to preserve the legacy of New Orleans’ Voodoo history and culture while educating and entertaining the visitor. The Presbytere at Jackson Square is an important architectural building. It offers a fabulous museum of Louisiana history, including Napolean’s death mask. The Old US Mint offers various exhibits including a Hurricane Katrina exhibit and a Mardi Gras costume exhibit. This is a place not to miss: James H. Cohen and Sons is an antique store, that offers old New Orleans estate items, Revolutionary and Confederate War items, firearms, maps, unbelievable jewelry and, most interesting of all, ancient Greek and Roman coins, pirate ship plunder, suits of armor and more! Cafe Du Monde is located in Jackson Square. A favorite for breakfast, it is open 24 hours, serving only beverages and beignets, similar to fritters. Nearby in the Central Business District Mardi Gras World offers a behind-thescenes look at the hard work and extensive planning that goes into staging the Mardi Gras floats. This experience allows you to see portions of floats being made and provides opportunities to pose for photos in front of floats, near props and in traditional Mardi Gras costumes. Don’t forget your camera! Confederate Memorial Hall Museum is the oldest museum in Louisiana and it offers the largest collection of Civil War memorabilia. Ogden Museum of Southern Art boasts the largest, most fabulous collection of southern art in the entire world, most of it amassed by one man, Roger Ogden. National World War II Museum (also known as the D-Day Museum) emphasizes the American experience in World War II. Organized Tours City Sightseeing New Orleans is a double-decker bus tour around the city. A complete loop takes two hours, but you can hop on and off at various stops, including Magazine Street, Mardi Gras World, the French Market, Armstrong Park, the St. Louis Cemetery and more. Purchase tickets and start your tour in Jackson Square. Haunted History Tours are ghostfocused walking tours available in various areas of New Orleans, such as the French Quarter, Garden District, cemeteries and more. The Steamboat Natchez, the last authentic steamboat on the Mississippi, offers daytime and dinner jazz cruises. There are other tours from which to choose, with many companies offering options: French Quarter Tours Cemetery Tours Plantation Tours History and Heritage Tours Horse and Carriage Tours NGA Registration Form: 2014 National Conference on Guardianship Register each person using a separate form, but total payment can be made with one check or credit card. Registration must be received on or before September 12 for the early bird discount. Click here to visit the conference website and register online. _________________________________________ 2014 Conference Registration Complete Name, include any designations (please print clearly) Discount if received BEFORE September 12. _________________________________________ NGA Member Fees: Name as you want it to appear on your name badge _________________________________________ Agency/Organization/Company _________________________________________ Mailing Address _________________________________________ City State Zip _____________________ ___________________ Phone Fax _________________________________________ Email (Confirmations are only sent by email.) r I am a family guardian. r I have a special dietary or accessibility need and will require accommodations in order to fully participate in this meeting. Please contact me. To add more people, this form may be photocopied and total fee paid with one check or credit card. Information About Conference Fees: Registration for the Saturday Conference Intensives: Legal Review, Behind the Webinar Screen or Guardianship Clinic requires an additional fee. Payment covers one of these sessions. Registrants may only attend/receive the materials for the session for which they pay. Main conference handouts are not included in this fee. The full conference registration fee includes entrance to all education sessions on Sunday, Monday and Tuesday; Welcome Reception and Exhibitor Reception; group lunches on Sunday and Monday; breakfast each session day; all breaks and the conference handouts. Full Conference @ $385 $_______ Sunday or Monday only @ $180 $_______ Tuesday only @ $80 $_______ Non-Member Fees: Full Conference @ $555 $_______ Sunday or Monday only @ $255 $_______ Tuesday only @ $95 $_______ Family Guardian Single-Day Fee: Single Day @ $50 (Sunday or Monday, includes sessions, exhibits and all food functions up to 5:00 pm) $_______ If registering AFTER September 12. NGA Member Fees: Full Conference @ $425 $_______ Sunday or Monday only @ $195 $_______ Tuesday only @ $95 $_______ Non-Member Fees: Full Conference @ $600 $_______ Sunday or Monday only @ $270 $_______ Tuesday only @ $120 $_______ Family Guardian Single-Day Fee: Single Day @ $50 (Sunday or Monday, includes sessions, exhibits and all food functions up to 5:00 pm) $_______ Total for Conference Registration: Not an NGA Member? Join Now and Save on Your Registration! Individual Membership @ $180 $_______ Organization Membership @ $260 (plus $110 for each additional organization member) $_______ Family, Volunteer or Retired Membership at $60 $_______ One-day registration covers only the day of your choice with the breakfast, lunch and breaks that day and the conference handouts. Sunday’s fee includes the reception that evening. Register Here for Conference Intensives r Legal Review r Behind the Webinar Screen Mail: Send form and check (payable to NGA) to NGA, 174 Crestview Dr., Bellefonte, PA 16823-8516 Before Sept. 12 NGA Member $80 Non-Member $105 Fax: Provide credit card information and fax to 814-355-2452 r Guardianship Clinic Registration Payment (Federal ID # 36-3591860) r Please email me a receipt for my records. Online: Have credit card available and go to www.guardianship.org Credit Card: r Visa r MasterCard Name on Card (print) _____________________________________ Account Number_________________________________________ Exp. Date_____________________ Security Code: _____________ Signature ______________________________________________ $_______ Before Sept. 12 NGA Member $130 Non-Member $155 Before Sept. 12 NGA Member $80 Non-Member $105 After Sept. 12 $155 $_______ $180 $_______ After Sept. 12 $105 $_______ $130 $_______ After Sept. 12 $105 $_______ $130 $_______ Total Conference Intensives: $_______ Use the separate form to order a Certificate of Attendance prior to the Conference $______ TOTAL FOR REGISTRATION FEES + $______ FOR CERTIFICATE = $______ No refunds will be issued after Monday, October 13. Cancellations after October 13 will receive a copy of materials from the conference. Changes or cancellations must be made in writing to Terri Breon at [email protected]. Substitutions may be made in advance. 6-4-14 RJ
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